CPT 29828 · Arthroscopy · Cigna
Shoulder Arthroscopy — Biceps Tenodesis at Cigna.
How Cigna approaches CPT 29828 (Shoulder Arthroscopy — Biceps Tenodesis) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-02
Criteria summary
High-level themes from the Cigna policy of record for CPT 29828. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Cigna Medical Coverage Policy
See the full Cigna criteria.
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